Individual
KATHLEEEN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10169 KARSTON CT NE, ALBERTVILLE, MN 55301-4610
(763) 226-6922
Mailing address
10169 KARSTON CT NE, ALBERTVILLE, MN 55301-4610
(763) 226-6922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301799
MN
1041C0700X
Clinical Social Worker
Primary
19925
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19925
MINNESOTA LICENSE
MN
01
—
301799
MINNESOTA LICENSE
MN
Enumeration date
06/27/2014
Last updated
06/27/2014
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